Assessing the burden of Acinetobacter baumannii in Maryland: a statewide cross-sectional period prevalence survey.
Assessing the burden of Acinetobacter baumannii in Maryland: a statewide cross-sectional period prevalence survey.
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DOI：
10.1086/667376
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发表时间：
2012-09
影响因子：
4.5
通讯作者：
Maryland MDRO Prevention Collaborative
中科院分区：
文献类型：
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作者：
Thom KA;Maragakis LL;Richards K;Johnson JK;Roup B;Lawson P;Harris AD;Fuss EP;Pass MA;Blythe D;Perencevich EN;Wilson L;Maryland MDRO Prevention Collaborative
确定鲍曼不动杆菌，一种重要的医疗保健相关病原菌，在马里兰州机械通气患者中的流行率。马里兰州MDRO预防协作组对居住在急性护理和长期护理(LTC)设施中的机械通气患者进行了全州范围的横断面积极监测调查。监测培养(痰和肛周)取自参与机构的所有机械通气住院患者，为期2周。马里兰州所有为机械通气患者提供护理的医疗机构都被邀请参加。已知有高定植风险和感染鲍曼不动杆菌的机械通气患者也包括在内。70%(40/57)的合格医疗机构参与了调查，包括马里兰州所有地理区域的急性护理机构(n=30)和长期护理机构(n=10)。监测培养来自92%(358/390)符合条件的患者。马里兰州34%的机械通气患者发现鲍曼不动杆菌；27%的患者发现多重耐药鲍曼不动杆菌。49%的参与机构中至少有1名患者检出鲍曼不动杆菌；100%的LTC机构中至少有1名患者患有鲍曼不动杆菌，相比之下，急性护理机构的这一比例为31%。鲍曼不动杆菌是从所有对10名或更多患者进行抽样的机构中鉴定出来的。鲍曼不动杆菌在马里兰州的急性护理和LTC机构的机械通气患者中很常见，有很高比例的分离株显示出多重耐药。
To determine the prevalence of Acinetobacter baumannii, an important healthcare-associated pathogen, among mechanically ventilated patients in Maryland. The Maryland MDRO Prevention Collaborative performed a statewide cross-sectional active surveillance survey of mechanically ventilated patients residing in acute care and long-term care (LTC) facilities. Surveillance cultures (sputum and perianal) were obtained from all mechanically ventilated inpatients at participating facilities during a 2-week period. All healthcare facilities in Maryland that provide care for mechanically ventilated patients were invited to participate. Mechanically ventilated patients, known to be at high risk for colonization and infection with A. baumannii, were included. Seventy percent (40/57) of all eligible healthcare facilities participated in the survey, representing both acute care (n = 30) and LTC (n = 10) facilities in all geographic regions of Maryland. Surveillance cultures were obtained from 92% (358/390) of eligible patients. A. baumannii was identified in 34% of all mechanically ventilated patients in Maryland; multidrug-resistant A. baumannii was found in 27% of all patients. A. baumannii was detected in at least 1 patient in 49% of participating facilities; 100% of LTC facilities had at least 1 patient with A. baumannii, compared with 31% of acute care facilities. A. baumannii was identified from all facilities in which 10 or more patients were sampled. A. baumannii is common among mechanically ventilated patients in both acute care and LTC facilities throughout Maryland, with a high proportion of isolates demonstrating multidrug resistance.
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影响因子：
--
作者：
Dizbay, Murat;Tunccan, Ozlem Guzel;Hizel, Kenan
通讯作者：
Hizel, Kenan
影响因子：
14.2
作者：
Magiorakos, A. -P.;Srinivasan, A.;Monnet, D. L.
通讯作者：
Monnet, D. L.
影响因子：
9.4
作者：
TENOVER, FC;ARBEIT, RD;SWAMINATHAN, B
通讯作者：
SWAMINATHAN, B
影响因子：
11.8
作者：
Sengstock, D. M.;Thyagarajan, R.;Kaye, K. S.
通讯作者：
Kaye, K. S.
影响因子：
9.4
作者：
Marchaim, Dror;Navon-Venezia, Shiri;Carmeli, Yehuda
通讯作者：
Carmeli, Yehuda